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through healthcare reform. [applause]this means investing and preventative care and aligning incentives with patients to encourage healthy lifestyle choices. king county is already doing this and it is working. we will improve the health of all in washington as we move from sick care to the true health care system we deserve. we need to leverage our medicaid and state employee health care and engage healthcare providers and community clinics to find innovative payment models and healthcare delivery systems that incentivize quality over quantity, value over volume. [applause]effectively implementing the affordable care act, it will save us money. we will remove hidden tax of hundreds of dollars paid monthly by all our state insurance citizens. we can do this for the health of our families and for the health of our economy. when we make our health system more efficient, we lower the cost of doing business and our state. the state will have a clear advantage to recruiting and obtaining the jobs of tomorrow. this session, we must make sure washington gets this right first, and i look forwar
of the effort is. overwhelmingly, the u.s. government support in african countries. today category of healthcare, education, and agriculture. security is a very minor part, but an important part, but a very minor part. i think that is probably as it should be. the defense strategic guidance that i referred to in my opening comment tells me that in africa, we are to seek a light footprint and innovative approaches and low costs approaches to achieving the united states security objective. we have one base in africa. we have about 2000 people. it supports not only u.s. africa command, but u.s. central command and the transportation command as well. that is our residence on the continent. -- that is our presence on the continent. there are 100 personnel who are supporting africans in the effort to joseph kony and his senior lieutenants to justice. they are indicted by the international criminal court. there is a u.s. log that tells us to do that -- u.s. law that tells us to do that. if there is a law that tells us to do that, we go and do that. and it is important part of the consideration. as i me
understand it was the fastest growing area of spending, rising health-care costs. we need to change the way we pay for health care in this country so its value-based and no longer volume based. would that help improve the fiscal outlook if we could make that conversion to a different payment system? >> yes. i do not want to speak for my bosses. we are coming out with a report where we look specifically at this question. one of the areas we focus on, we have to look away from the payment system to a more orderly system and moved it away. we believe that will help control costs overall in the medicare area. that also, since 50% of health care -- i knew you were involved in that work. a comparable bowl record is coming up. i appreciated mr. brady's comment. moving to equality-based reimbursement system. that will be key to the fiscal outlook. there is a lot we could follow up on. thank you for this during -- hearing. >> recognized for five minutes. >> thank you. i have been listening to this testimony all afternoon and i have to say, i am embarrassed to hear some of the comments that have been
Search Results 0 to 2 of about 3